CONNECTICUT FAMILY DENTISTRY, LLC (NPI# 1770814956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770814956 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT FAMILY DENTISTRY, LLC |
| Practice Address |
945 Main St Suite 101 Manchester CT 06040-6064 |
| Practice Telephone | 8606461704 |
| Mailing Telephone | 8606461704 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | MRS. KIM L WARNER (OFFICE MANAGER) |
| Authorized Official Telephone | 8606461704 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4590 | CT | Dental Providers |
| Street Address |
945 MAIN ST SUITE 101 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-6064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776062 | Bradley J. Daar | Dentist | 945 Main St, Suite 302, Manchester, CT 06040-6064 | 2005-08-09 |
| 1033667506 | Burch Counseling Services LLC | Community/Behavioral Health | 945 Main St, Suite 211, Manchester, CT 06040-6064 | 2016-09-14 |
| 1568890069 | Mgadams, LLC | Counselor | 945 Main St, Suite 211, Manchester, CT 06040-6064 | 2013-10-17 |
| 1184967432 | Kaitlyn Marie Guardino | Internal Medicine | 945 Main St, Suite 308, Manchester, CT 06040-6064 | 2013-04-04 |
| 1134402019 | Ali Shakibai, Md, LLC | Internal Medicine | 945 Main St, Suite 205, Manchester, CT 06040-6064 | 2011-09-27 |
| 1053597567 | Diana M Radulescu II | Dentist | 945 Main St, Suite 302, Manchester, CT 06040-6064 | 2008-01-15 |
| 1609051044 | Heritage Internal Medicine Associates LLC | Internal Medicine | 945 Main St, Suite 102, Manchester, CT 06040-6064 | 2008-01-03 |
| 1174736920 | Prindiville, Peracchio & Saunders, Dmd PC | Dentist | 945 Main St, Suite 310, Manchester, CT 06040-6064 | 2007-05-08 |
| 1255477543 | Lindsey Devin | Marriage & Family Therapist | 945 Main St, Suite 211, Manchester, CT 06040-6064 | 2007-01-30 |
| 1871675298 | Faye F Mamaghani | Dentist | 945 Main St, Suite 302, Manchester, CT 06040-6064 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137228 | Oasis Dental, P.C. | Dentist | 1525 S Willow St Unit 5, Manchester, NH 03103-3209 | 2019-04-30 |
| 1336613330 | Dental Sleep Providers, LLC | Dentist | 945 Main St Ste 303, Manchester, CT 06040-6064 | 2019-01-14 |
| 1396246708 | Kenneth M. Laro Dmd LLC | Dentist | 153 Main St Ste 11, Manchester, CT 06042-3112 | 2018-02-22 |
| 1336654862 | Manchester Dentistry & Implants Pllc | Dentist | 43 Duncan Farms, Manchester, NH 03102-2363 | 2017-12-06 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| 1063800399 | Manchester Dental Pllc | Dentist | 26 W Webster St, Manchester, NH 03104-2912 | 2015-01-09 |
| 1205232295 | Allan L Link Dmd & Associates LLC | Dentist | 14335 Manchester Rd, Manchester, MO 63011-4048 | 2014-11-18 |
| 1902219215 | Robert Fromuth | Dentist | 765 S Main St Ste 102, Manchester, NH 03102-5141 | 2014-06-04 |
| 1235474388 | Globus Dental Associates Manchester, PC | Dentist | 1540 Pleasant Valley Rd Ste G, Manchester, CT 06042-8760 | 2012-11-30 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.